| NPI | 1912292723 |
|---|---|
| Former Name | KELLY LYNN REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 12134217) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 71010000745) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2021-02-03 |